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Ann Thorac Surg 2003;75:1317-1318
© 2003 The Society of Thoracic Surgeons

Case report

Successful thrombectomy for thrombosis of aortic composite valve graft in pregnancy

Francesco Alessandrini, MDa, Elisabetta Lapenna, MD*a, Giuseppe Nasso, MDa, Michele De Bonis, MDa, Gian Federico Possati, MDa

a Department of Cardiac Surgery, "Policlinico Gemelli" University Hospital, Catholic University of The Sacred Heart, Rome, Italy

Accepted for publication October 8, 2002.

* Address reprint requests to Dr Lapenna, Via Don Milani 23 E–20063 Cernusco Sul Naviglio, Milan, Italy
e-mail: elisabettalapenna{at}tiscalinet.it

Prosthetic heart valve thrombosis in pregnancy is a life-threatening complication whose management remains controversial and particularly difficult because of the additional challenge to save the fetus. Thrombolysis, thrombectomy, or prosthetic replacement are the currently available options. We report the case of a 17-week pregnant patient who was successfully treated by emergency open-heart thrombectomy for thrombosis of an aortic composite valve graft. Pregnancy was carried to term and a healthy baby was vaginally delivered 5 months later.






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